THE EFFECTS OF LOKAL APPLICATION OF LIDOCAINE AND BUPIVACAINE ON POSTOPERATIVE ANALGESIA IN SEPTOPLASTY PATIENTS
1Adana Şehir Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve reanimasyon, Adana, Türkiye2Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, İstanbul, Türkiye
3Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Kliniği, İstanbul, Türkiye Introduction: Preoperative local anesthetic and adrenaline application decrease surgical field bleeding and improves postoperative analgesia. The aim of this study was to compare the effects of bupivacaine and lidocaine anesthesia on peroperative bleeding, hemodynamics, postoperative pain, and analgesic consumption.
Material and Methods: The study included 60 patients, 35 in Lidocaine +Adrenaline (LA) and 25 in Bupivacaine + Adrenaline (BA) group. After anesthesia induction the patients were done submucoperichondrial local anesthesia with either 10 ml of 1% lidocaine+0.00625mg/ml adrenaline in LA group, or 10 ml of 0.25% bupivakain+0.00625mg/ml adrenaline solution in BA group. Patient-controlled analgesia with tramadol was commenced on in all patients in Recovery Room. Vital signs, Visual Analog Scale (VAS) scores, Ramsay sedation scale scores were recorded on postoperative 30th minute, 3, 6, 12 and 24th hours. The amount of tramadol used was also recorded. Surgical bleeding amount were evaluated with 5 graded scale by the surgeon.
Results: The amount of analgesics and sleep quality scores were not different between the groups. The patient satisfaction was statistically higher in BA group (P=0.031). The postoperative VAS scores on 6th and 12th h were significantly decreased in BA group when compared with LA group.
Conclusion: This study concluded that preoperative local anesthesia with bupivacaine is more effective than lidocaine in decreasing postoperative pain in septoplasty patients.
Keywords : Pain, local anesthesia, bupivacaine, lidocaine, septoplasty